D797N
Category 4 — Stable Fold, Function DisruptedConflictingLumenal · predictedσ-1 candidateEditorialAspartate → Asparagine at position 797. ClinVar Conflicting including monogenic hearing loss + DFNA6. AlphaMissense 0.556 (borderline), ΔΔG -0.02 (neutral). Same position as D797V — second substitution at 797.
Interactive 3D Structure
Bond changes · DynaMut2 interaction analysis
| Interaction type | Wild-type partner | Mutant partner | Status |
|---|---|---|---|
| Hydrogen bond | E794 | E794 | Preserved |
| Hydrogen bond | T799 | T799 | Preserved |
| Hydrogen bond | K800 | K800 | Preserved |
| Polar contact | E794 | E794 | Preserved |
| Polar contact | T799 | T799 | Preserved |
| Polar contact | K800 | K800 | Preserved |
| Van der Waals | — | T799 | Gained |
| Hydrophobic | K800 | K800 | Preserved |
Lost / gained / preserved interatomic contacts at the variant residue, from the DynaMut2 (Arpeggio) interaction analysis of the wild-type and energy-minimized mutant structures.
Computational Predictions
Clinical Evidence
Not observed in ~730k individuals — consistent with a rare allele (ACMG PM2_supporting).
Structural Context
Position 797 same neighbors as D797V: VAL798 (2.4 Å), ASP796 (2.4 Å), GLU794 (4.2 Å), THR799 (4.3 Å).
D797N conserves the local geometry but eliminates the charge. The D796-D797-E794 charged cluster loses one negative member. AM 0.556 borderline + dual deafness phenotype confirm severe consequence.
Druggability Assessment
Mechanism: charge loss from D796-D797-E794 cluster. Therapeutic: same target as D797V.
Why this matters
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